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Organization
THE GROVE DENTISTRY, P.A.
Active
Organization
THE GROVE DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG KIM VAN DMD (OWNER/PRESIDENT)
(386) 453-8036
Entity
Organization
Contact information
Practice address
3700 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-5483
(407) 654-1296
Mailing address
7418 JOHN HANCOCK DR, WINTER GARDEN, FL 34787-5690
(386) 453-8036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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